Cellulitis

Reviewed 06/2017
 


BASICS

Cellulitis is a common global health burden, with more than 650,000 admissions per year in the United States alone 1[A]. 

DESCRIPTION

  • An acute bacterial infection of the dermis and subcutaneous t...

DIAGNOSIS

Primarily a clinical diagnosis 

HISTORY

  • Previous trauma, surgery, animal/human bites, dermatitis, fungal infection; all serve as a portal of entry for bacterial pathogens.

  • Pain, itching, and/or...

TREATMENT

GENERAL MEASURES

  • Immobilize and elevate involved limb to reduce swelling.

  • Sterile saline dressings or cool aluminum acetate compresses for pain relief

  • Edema: compression stocking, pneumatic pum...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Repeat relevant labs (blood culture, CBC, potentially LP) if patient is toxic or not improving.

  • Consider deep vein thrombosis prophylaxis.

  • Cutaneo...

REFERENCES

Raff  A, Kroshinsky  R. Cellulitis: a review. JAMA.  2016;316(3):325–337.  [View Abstract]
Figtree  M, Konecny  P, Jennings  Z, et al. Risk stratification and outcome of cellulitis ad...

ADDITIONAL READING

  • Brook I. Management of human and animal bite wounds: an overview. Adv Skin Wound Care.  2005;18(4):197–203.

  • Gunderson CG. Cellulitis: definition, etiology, and clinical featur...

CODES

ICD10

  • L03.90 Cellulitis, unspecified

  • H05.019 Cellulitis of unspecified orbit

  • L03.211 Cellulitis of face

  • J36 Peritonsillar abscess

  • H05.012 Cellulitis of left orbit

  • H05.013 Cellulitis of bilateral orbit...

CLINICAL PEARLS

  • S. aureus and group A Streptococcus are the most common organisms that cause cellulitis.

  • Consider MRSA if cellulitis is not responding to antibiotics in the first 48 hours.

  • Rapid expansi...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×